2106 Opal Dr - Inspection Form411111111r City of Eaft
Residential Sanitary Sewer Service
Compliance Inspection
Date a /
Name - /-74
PID Number
House Number
Disk #
Street Name
Alternative Address
( ---
[ /
Owner/Occupant Signature
Compliance
O No foundation drain connection
roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
/f 1
I
Total
// • . 0 am
Time pm
Correctly
_At
.fTh
Phone 6 5
LL I , 7
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots b 4/: —
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
/ 0
Nurober Discharged
Incorrectly
Yellow Copy: City of Eagan
I//
Record Number
Time
A rt ,___.-6"-f_
, .
---
------/ ' .- inspector Sqnature
Obstruction
Untie to push past
feet
.4.4
/tt
C7
Notes
-
Unknown
P1/
CA
c2 1
• 4.
• "0
140 Access
O No one in
O Access to service
lateral needed
O Inspection
refused
C '
.
Final Cleanout:
g < J' f 4 Zz . ./gv,.. 2
Pink Copy: SEH